Organization
BRAIN AND SPINE LLC
Active
Other names
Brain and Spine Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
KYLIE M MARLETTE (CREDENTIALING SPECIALIST)
(850) 215-1593
Entity
Organization
Contact information
Practice address
2202 STATE AVE STE 201, PANAMA CITY, FL 32405-4582
(850) 785-0029
(850) 785-7600
Mailing address
2202 STATE AVE STE 201, PANAMA CITY, FL 32405-4582
(850) 785-0029
(850) 785-7600
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
08/25/2006
Last updated
05/01/2023
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